Provider Demographics
NPI:1154464147
Name:PALM VALLEY EMS LLC
Entity Type:Organization
Organization Name:PALM VALLEY EMS LLC
Other - Org Name:TEXAS MEDICAL TRANSORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GUSTAVO
Authorized Official - Last Name:ZEPEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-631-9429
Mailing Address - Street 1:613 N. 43RD ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8144
Mailing Address - Country:US
Mailing Address - Phone:956-631-9429
Mailing Address - Fax:
Practice Address - Street 1:4311 N. 10TH ST
Practice Address - Street 2:STE G5
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-686-6463
Practice Address - Fax:956-968-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8001493416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport